Purpose: The aim of the present study is to evaluate the effectiveness of cognitive rehabilitation on improving selective attention in patients with mild cognitive impairment. Methods: It was a quasi-experimental study with pre-test and posttest. The population in this study was all individuals referred to a neurology clinic in Tehran in 2012. The group was comprised of 40 patients with mild cognitive impairment who were evaluated with early detection and assessment by a medical psychologist (MMSE score lower than 25 and Wechsler memory test) and were selected by available sampling. They were also older than 55 years and had a minimum education at degree level, together with a lack of neurological and psychiatric comorbidities and impaired sensory and motor retardation, according to their nursing history and medical records. They were randomly divided into experimental and control groups (20 patients in each group). The experimental group was given 12 sessions (two hours each section) of cognitive rehabilitation with Neurocognitive Joyful Attentive Training Intervention (NEJATI). The control group, as expected with this group, did not receive any trial period. The selective attention of both groups was evaluated, before and after receiving intervention, by a Strop computer programme. Data were analysed using the covariance statistical test, MANCOVA. Results: The results show an increase in selective attention scores in the experimental group compared with the control group. Therefore, we can conclude that cognitive rehabilitation leads to improvement in the performance of selective attention (F = 4/97; sig < 0/05). Conclusion: Cognitive rehabilitation can impact on improving selective focus in people with mild cognitive impairment.

The aim of this study was to compare marital satisfaction and mental health in male and female multiple sclerosis patients with healthy males and females. In a correlation study, 59 MS patients in Tehran (31 female and 28 male, with a range of 25 to 55 years old) were selected by the random cluster sampling method and 59 healthy individuals were matched with them in sex and age. Then both groups filled in the marital satisfaction questionnaire of Enrich and GHQ. The test of multi-variance analysis showed that, regardless of the gender, for people with MS disease, the marital satisfaction and the whole of its subscales except the religion and the mental health and its all sub-scales, are established at a significantly low level. However, the comparison of these groups due to the gender showed that in the satisfaction elements and personality issues, the relationship between marital and leisure time of women patients is worse than men; however, healthy women scores in financial management are lower than healthy men. In addition, in the elements of mental health, women and men patients are similar to each other but healthy women have higher physical symptoms than healthy men (P < .05). These results represent the necessity of applying approaches to increase the satisfaction of the marital and mental health of patients and training the couples for cooperation and higher perception.

The aim of the study was the effect of Cognitive Rehabilitation on the Set-Shifting Attention Ability of Adult Individuals with Mild Cognitive Impairment. The present study consisted of a quasi-experimental study with pre-test and post-test stages. The statistical population consisted of subjects of more than 55 years of age, referred to a neurology clinic in Tehran/Iran in 2012. Forty patients with mild cognitive impairment were selected by convenience sampling based on the diagnosis of a neurologist and a clinical psychologist (MMSE score lower than 25 and The Wechsler Memory Test). The experimental group (20 patients) attended 12 sessions of a cognitive rehabilitation program. As evaluated, by the Wisconsin Cart Sorting Test (WCST). Data were analyzed using MANCOVA. The findings demonstrated that the mean score of the experimental group was greater than the control group (P<0.05) in terms of their shifting attention. The follow-up test revealed that the experimental group experienced an effective rehabilitation intervention over a six month period. Cognitive rehabilitation can impact on improving Shifting attention in individuals with mild cognitive impairment.